St. Joseph Villa Nursing Center - Omaha Nursing Home

General Information

UPDATE
Federal Provider Number
285078
Provider Name
ST. JOSEPH VILLA NURSING CENTER
Provider Address
2305 SOUTH 10TH STREET
OMAHA, NE 68108
Provider Phone Number
4023455683
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
For profit - Corporation
Number of Certified Beds
184
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELMAR GARDENS OF OMAHA, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-07-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84000
Reported LPN Staffing Hours per Resident per Day
0.59424
Reported RN Staffing Hours per Resident per Day
0.33333
Reported Licensed Staffing Hours per Resident per Day
0.92758
Reported Total Nurse Staffing Hours per Resident per Day
3.76757
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09727
Expected CNA Staffing Hours per Resident per Day
2.24783
Expected LPN Staffing Hours per Resident per Day
0.56386
Expected RN Staffing Hours per Resident per Day
0.89258
Expected Total Nurse Staffing Hours per Resident per Day
3.70427
Adjusted CNA Staffing Hours per Resident per Day
3.10011
Adjusted LPN Staffing Hours per Resident per Day
0.87471
Adjusted RN Staffing Hours per Resident per Day
0.27904
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09978
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
105.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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